Appendix 10 Kathy Fodey Nursing Officer Education, Regulation, Workforce DHSSPS

Four Key Priorities A.Develop a competent and flexible workforce B.Update career pathways and career choices C.Prepare nurses to lead in a changed system D.Modernise the image of nursing and careers

Continuing Care and Support Elective, Urgent and Critical Care Core skills Specialist / Advanced Practice Registered Nurse / Registered Midwife Pre-registration nursing and midwifery education Senior Nursing Assistant Nursing Assistant Learning and development framework for nursing and midwifery Health and Wellbeing

Elements ; public health mental health promotion, community development, health education, health protection, health screening and so on. Current workforce context; likely to include some aspects of practice nurse roles, maternal and child care, health visiting and occupational nursing services and include community development initiatives such as Sure Start Future workforce characteristics, competencies and attributes; community development activity, tackling inequalities, delivery of ‘wellness’ care, screening and health education knowledge of population demographics and epidemiology

Elective, Urgent and Critical Care Elements would be currently recognised as elective surgery, critical interventions, crisis intervention, rapid response and emergency care. Current workforce context; Likely to include accident and emergency nursing, some aspects of treatment room nurses, day procedure, acute care at home teams (ACAHT), general medical wards, mental health intensive and high dependency care, critical maternity intervention Future workforce characteristics, competencies and attributes; technological know how, safety and quality practices, early recognition capacity and critical intervention skills.

Continuing Care and Support elements would be currently recognised as the care of children with complex needs, end of life care, severe and enduring mental illness, chronic disease management, dementia services and challenging behaviours. Current workforce context; Likely to include palliative care nurses, respiratory nurse specialists, community psychiatric nurses, cognitive behavioural therapists, stroke nursing services and district nursing services Future workforce characteristics, competencies and attributes; self-care promotion, technological application, co-ordination of care, information management, end of life care and so on

Changing face of service delivery Patient expectations are changing Nurses are already shifting the context of care TYC driving the pace of service reform Recognise workforce capability Change equation D + V + F > R –D = Dissatisfaction –V = Vision –F = First step –R = Resistance

Expert Practice Specialist Practice Generalist Practice Novice Practice

Skills Mapping: Exercise 1 Three Groups Green – Health and Wellbeing Red – Elective, Urgent and Critical Care Blue – Continuing Care and Support 8 minutes each zone then rotate

Skills Mapping: Exercise 2